Individual
ANITA F MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA; LMFT
Contact information
Practice address
363 S MAIN ST STE 340, DECATUR, IL 62523-1499
(217) 422-3524
(217) 422-3520
Mailing address
161 HIGHTIDE DR, DECATUR, IL 62521-4656
(217) 428-2345
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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